Individual
AMANDA EVOUGHN SWATZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 E CHURCH STREET SUITE A, GREENEVILLE, TN 37743
(423) 639-3213
(423) 639-4692
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN79902
TN
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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